Graduated: 2012
NPI: 1457970246
Practice Locations (2)
LIFESPAN PHYSICIAN GROUP INC
593 EDDY ST
PROVIDENCE, RI 029034923
4014446779
RHODE ISLAND HOSPITAL
593 EDDY ST
PROVIDENCE, RI 029034923
4014445435
Source: CMS National Downloadable File, September 2026.